Welcome to Rolla Skate Club!

Please fill this form out and you are Ready to Roll!

Your First Name *

List the name of the guardian if signing for a minor/s

Your Last Name *

List the name of the guardian if signing for a minor/s

Your Phone Number *

Email *

Please list name and age of any minor/s you are signing on behalf of:

Why are you skating with us today? *

Would you be interested in other Rolla Programs? Please select all that apply.

I HAVE READ AND AGREED TO THE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PROVIDED TO ME. I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.